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1578615621
MARC THOMAS CIVITANO
HARRISON, NY
NPI
1578615621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 011059)
Enumeration Date
2007-01-17
Last Update Date
2013-07-30
Business Address
Mr. MARC THOMAS CIVITANO P.A.
600 MAMARONECK AVE SUITE 101
HARRISON, NY 10528-1635
Phone number: 914-686-0111
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Mailing Address
Mr. MARC THOMAS CIVITANO P.A.
600 MAMARONECK AVE SUITE 101
HARRISON, NY 10528-1635
Phone number: 914-686-0111
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